There is a difference in the etiology and clinical manifestations between Liver-Qi Stagnation (poor Qi and blood transportation in the liver, emotional depression) and Liver Stagnation and Fire (impassable Qi in the liver leading to the production of fire and heat). Etiology: Liver qi stagnation occurs mostly due to mental stimulation, resulting in a loss of liver qi. Liver Qi Depression is caused by emotional depression, which leads to the development of fire. Clinical manifestations: the clinical manifestations of liver qi stagnation are depression, irritability, distension and pain in the ribs and chest, or pain in the breasts, chest tightness, sighing, distension and pain in the epigastrium (abdomen), dullness (no appetite, less food), belching (hiccups) and so on. Clinical manifestations of liver depression and fire are headache, dystocia (pain in the area of the ribs), insomnia, irritability, redness of the tongue, and number of strings in the pulse. If you have any of the above discomforts, it is recommended to seek timely medical treatment.